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NPI 1144269762

NPI 1144269762 : SUZANNE FINLEY ULMER PNP : SIMPSONVILLE, SC

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General NPI Number Information
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    NPI Number           |    1144269762
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    Entity Type          |    Individual 
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    Provider Name        |    SUZANNE FINLEY ULMER PNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/06/2006
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    Last Update Date     |    02/25/2019
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Provider Practice Location Address
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    Address Line         |    211 BATESVILLE RD 
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    City                 |    SIMPSONVILLE
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    State                |    SC
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    Zip                  |    29681-4816
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    Country              |    US
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    Telephone            |    864-272-0388
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    Fax                  |    864-213-9237
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Provider Business Mailing Address
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    Address Line         |    525 VERDAE BLVD STE 200 
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    City                 |    GREENVILLE
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    State                |    SC
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    Zip                  |    29607-4021
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    Country              |    US
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    Telephone            |    864-272-0388
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    Fax                  |    864-213-9237
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LP0200X
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    Taxonomy Name        |    Pediatric Nurse Practitioner
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    License Number       |    5008995
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    363LP0200X
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    Taxonomy Name        |    Pediatric Nurse Practitioner
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    License Number       |    2229
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    License Number State |    SC
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